| NPI | 1962820811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0084272) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101286459) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 339132) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-10-29 |