| NPI | 1871098665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 307501) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD70051915) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD226917) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-10-22 |