| NPI | 1629260898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA C149583) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C149583) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 51947) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 60969-20) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C149583) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2024-04-29 |