| NPI | 1679079230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A183411) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 321072) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS TW-00207) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA TPME4581) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 2808) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME4581) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301115149) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301503051) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-02-06 |