| NPI | 1811457898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U6666) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 317502) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A185960) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-11-27 |