| NPI | 1124054440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G-145096) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM TM2016-0788) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 20260) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0049782) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME106403) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 35083) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 66453) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-10-22 |