| NPI | 1740410919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 46925) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P2484) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 14833) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-08-24 |