| NPI | 1629159777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60127905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60127905) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-07-22 |