| NPI | 1720073232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00037112) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD24084) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A066236) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2007-07-08 |