| NPI | 1912263773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R5275) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 323876) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C192944) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-10-28 |