| NPI | 1750489845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S8559) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD428276) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-COM-LIC-174) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 75682) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-07-11 |