| NPI | 1104261270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 158218) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0061856) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD484491) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 282302) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2025-04-14 |