| NPI | 1477674885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0050407)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.131706)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 55546)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 54679)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2012-0784)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P3708)  | |
| Enumeration Date | 2007-04-03 | 
| Last Update Date | 2024-08-21 |