| NPI | 1508501925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO PA.0008087) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2026-05-27 |