| NPI | 1720150972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 14744) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME125003) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 24613) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-04-27 |