| NPI | 1154772986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T5419) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101270017) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL39892) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61074008) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-09-26 |