| NPI | 1750421756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61407506) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 42508) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N9329) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-06-12 |