| NPI | 1629699053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101273560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101273560) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2026-07-08 |