| NPI | 1750305397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD C0005354) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 900) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-09-14 |