| NPI | 1710924220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD22777) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD22777) | 
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OR MD22777) | |
| Enumeration Date | 2006-06-01 | 
| Last Update Date | 2025-09-11 |