| NPI | 1497067599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q0410) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11455746-1205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 84454) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-12896) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2020-03-10 |