| NPI | 1912586678 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD600003528)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101277228)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A203976)  | |
| Enumeration Date | 2021-04-07 | 
| Last Update Date | 2025-10-27 |