| NPI | 1063947083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T1878) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR pg183330) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A172483) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-10-10 |