| NPI | 1801856158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H8027) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 105327) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TX H8027) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MO 105327) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-02-27 |