| NPI | 1821558081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 67802) |
| Additional Taxonomies | 2084P0805X (Licence: MN 67802) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2024-07-01 |