| NPI | 1811975139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61067610) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 38165) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 43625) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-02-02 |