| NPI | 1518163815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 51135) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 250001) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-52052) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60657389) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09909900) | |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2022-09-07 |