| NPI | 1790120053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V2806) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GU M-2381) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A133839) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-09-16 |