| NPI | 1407357114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T3143) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV AF00006) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 19538) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 14028A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C173941) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-15899) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-11-07 |