| NPI | 1790917714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 19144) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 25375) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 49562) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2021-05-10 |