| NPI | 1295221810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX AP137919) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP137919) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-01-06 |