| NPI | 1235579301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S8647) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-9709) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A169925) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01083963A) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-04-20 |