| NPI | 1710120324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR 165731) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55050) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60623855) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-10-11 |