| NPI | 1821521436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 312435) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 79460) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 22346) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-09-17 |