| NPI | 1740668193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A148434) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 318891) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068919) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-11-10 |