| NPI | 1790277374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U4312) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2021036910) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX U4312) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-01-16 |