| NPI | 1942266580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2016-00646) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 39490) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C131074) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101244357) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2025-09-29 |