| NPI | 1912584590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME175912) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.153010) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 337764) | |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2025-12-10 |