| NPI | 1821654534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME159457) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320501) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 98703) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2025-11-05 |