| NPI | 1124325121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 31663) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10031717) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 49560) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2016-11-07 |