| NPI | 1114217619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD201977) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U2120) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A123302) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61085243) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2025-12-26 |