| NPI | 1568859809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 260) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 14816) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 78346) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-09-22 |