| NPI | 1568491280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U3468) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 491) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 10124) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-11-20 |