| NPI | 1760773683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: RI MD17728) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 52759) |
| 2084P0805X (Licence: KY TP673) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2024-07-19 |