| NPI | 1598964017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60107998) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA ML20008913) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-096606) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: WA MD60107998) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2015-02-02 |