| NPI | 1558948208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME164774) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 3176151) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA 209172) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 103529) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2026-09-11 |