| NPI | 1063433324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 40273) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C144091) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX P3451) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WI 13045-320) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 102918) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2025-05-29 |