| NPI | 1619404688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD484229) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 329704) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME6612) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 99778) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2025-10-29 |