| NPI | 1457551848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00045405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00045405) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2025-10-15 |