| NPI | 1255789772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0065765) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V0949) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 011059) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 98821) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-11-20 |