| NPI | 1992446058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 346214) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 346214) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0075387) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-08-12 |