| NPI | 1720217391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60471527) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD163702) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA unknown) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD154163) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD154163) | |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2021-05-21 |