| NPI | 1780647925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 96888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200200603) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-10-16 |