| NPI | 1851970065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 173806) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 109833) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 335976) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-12-01 |