| NPI | 1053693937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD222787) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 10252A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 26409) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2024-12-27 |