| NPI | 1487036703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 70095-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 061-t1) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-01-10 |