| NPI | 1831676725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD478769) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A167319) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-09-29 |