| NPI | 1932893534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: UT 14287673-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM2303) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2026-07-02 |