| NPI | 1790898278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 64604) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EM031514) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 83466) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-01-13 |