| NPI | 1841828324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V0181) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2025-03339) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 340525) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-11-04 |