| NPI | 1508354440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T6845) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023025928) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036164863) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-11-02 |