| NPI | 1942429717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C56067) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512110) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 71559) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2026-04-13 |