| NPI | 1598179509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 325265) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A139275) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A139275) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-06-27 |