| NPI | 1497252977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T7343) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20208) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS20165) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP61254542) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319625) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-03-21 |