| NPI | 1891680542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2026026615) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2024048683) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2026-07-11 |