| NPI | 1891431284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX W7016) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 345019) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2026-0294) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2026-08-26 |