| NPI | 1114148582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C156983) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301064531) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q1100) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-04-13 |