| NPI | 1649665712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301503330) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301503330) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2025-11-04 |