| NPI | 1942636972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS017256) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV DO2812) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO200327) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2026-03-06 |