| NPI | 1235765934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 202230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 809822) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 1021012) | |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2022-01-19 |