| NPI | 1104231505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 94302) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD218321) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD61496911) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MT 114426) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 71037) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND 14924) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-08-28 |