| NPI | 1750910527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 102035) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 315124) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101281531) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-11-04 |