| NPI | 1356323588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX L1687) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2019-0023) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 126632) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-03-02 |