| NPI | 1891248431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A170064) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101270887) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10730200) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0005090) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD485886) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2025-03-06 |