| NPI | 1649302365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S5318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 045110) |
| 207R00000X Internal Medicine (Licence: CT 043069) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 045110) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 043069) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-04-02 |