| NPI | 1366030355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 9120434) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX PA16176) |
| 363A00000X Physician Assistant | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX PA16176) | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2026-01-22 |