| NPI | 1548766694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T5589) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351038637) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301114388) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-117582) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-11-22 |