| NPI | 1639520216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD217213) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD217213) |
| 207Q00000X Family Medicine (Licence: IA MD-47758) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD-47758) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-12-12 |