| NPI | 1861810384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A15357) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL OS14683) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX R8221) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-08-11 |