| NPI | 1811762727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID LMSW-43873) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID CADC-5049) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-12-05 |