| NPI | 1902330277 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 88173) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 40973) | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME7865) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 336960) | |
| Enumeration Date | 2017-04-13 | 
| Last Update Date | 2025-07-28 |