| NPI | 1689788606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 24025) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX D4193) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD22340) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R5040) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2006-0717) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-31 |