| NPI | 1417510512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U4621) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 206157) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A198064) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 321335) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 338799) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-02-05 |