| NPI | 1992717664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0015629) |
| Additional Taxonomies | 2084P0805X (Licence: NE 19875) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 19875) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2025-12-12 |