| NPI | 1477709889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T9654) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125053658) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60507042) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2023-03-28 |