| NPI | 1487944450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61270837) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 070869) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD211143) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-08-25 |