| NPI | 1487036828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD.MD.61271802) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 61271802) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278499) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-08-05 |