| NPI | 1578901591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60835762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35883) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-04-11 |