| NPI | 1013466341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MA058722) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2017-06-01 |