| NPI | 1740714567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 1021156) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 1021156) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2026-01-15 |