| NPI | 1245389998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8137) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2014-0599) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A98084) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-01-26 |