| NPI | 1710236971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101267096) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q2442) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35126728) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2021-11-10 |