| NPI | 1871026138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME150621) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61081549) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 311697) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T1939) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A173638) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-05-07 |