| NPI | 1619177656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD171845) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 12692) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60348041) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-03-10 |