| NPI | 1710272588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q7955) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME169527) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 90302) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2021042733) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0444255) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2024-11-12 |