| NPI | 1326489550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE 29218) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV 19423) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 168726) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 42998) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-07-09 |