| NPI | 1174690044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 35788) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G3514) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0421326) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-12-20 |