| NPI | 1578051652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 6744) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 338427-01) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2025039799) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-09-12 |