| NPI | 1598902983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 299168) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0047205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ AZ 23199) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA PA MD034028E) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2019-09-16 |