| NPI | 1043354095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 4913886-1205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 50462) |
| 2084P0805X (Licence: MN TP103474) | |
| 2084P0805X (Licence: CA A97079) | |
| 2084P0805X (Licence: WA MD00045423) | |
| 2084P0805X (Licence: UT 49138868905) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-03-11 |