| NPI | 1063588622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-16618) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD22910) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61022782) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-01-04 |