| NPI | 1851774624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 281064) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 86758) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX s8522) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD465641) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-05-07 |