| NPI | 1205882693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX R6384) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 63405) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD187279) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD60839274) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2019010503) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 36524) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WI 86-320) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-06-21 |