| NPI | 1548758907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 52723) |
| Additional Taxonomies | 2085R0001X (Licence: SC LL52723) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-08-12 |