| NPI | 1548601313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60739089) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD182952) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2018-00079) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-04-02 |