| NPI | 1801450895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD474874) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA HS000240L) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT217382) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA AA0001255207) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-09-26 |