| NPI | 1083659841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD00036617) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00036617) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-05-27 |