| NPI | 1699462374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 77762) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 33656) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 77762) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2026-07-08 |