| NPI | 1346637782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD60783457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60783457) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-10-24 |