| NPI | 1538797360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME7979) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 340085) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 261184) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-10-29 |