| NPI | 1871112201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U5184) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332299-01) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 72279) | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-04-29 |