| NPI | 1487668976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 025358) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 19239) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2025-02667) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-09-16 |