| NPI | 1609134816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL Me114295) |
| Additional Taxonomies | 2084P0805X (Licence: FL ME114295) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2026-04-08 |