| NPI | 1700134517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD180970) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61199162) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301101293) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: OR MD180970) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2022-12-16 |