| NPI | 1508327867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2022-03194) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332083) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101283272) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-10-29 |