| NPI | 1366468746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N6578) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C-156677) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319634) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-12-01 |