| NPI | 1588036750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD044321) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A129088) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 074876) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2019-06-04 |