| NPI | 1396984795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P7480) |
| Additional Taxonomies | 2084P0805X (Licence: TX 44310) |
| 2084P0805X (Licence: TX P7480) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A116957) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2025-07-23 |