| NPI | 1568740538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 125059634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059634) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125059634) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-03-08 |