| NPI | 1962439315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01084195A)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036162187)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0015531)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-22622)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.131564)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI NF059388)  | |
| Enumeration Date | 2006-06-28 | 
| Last Update Date | 2023-03-31 |