NPI | 1194094961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX PA07479) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07479) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2024-11-12 |