| NPI | 1851488795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A62070) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.007005) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME133934) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60767673) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-12-13 |