| NPI | 1942566799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 301676) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 482357) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 25446) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023029767) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-04-30 |