| NPI | 1689022360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDRH.0067126) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA DO.OP.61240620-IMLC) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-05-08 |