| NPI | 1780145607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A185732) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 89105) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U8525) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-02-12 |