| NPI | 1821006172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME49876) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 73496) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-15862) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-09-15 |