| NPI | 1528359700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 75674-20) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60491232) |
| 2084P0805X (Licence: WA MD60491232) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2021-08-02 |