| NPI | 1861469322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 22443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00036503) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD00036503) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-11-29 |