| NPI | 1881713584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P8927) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10034393) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00272) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-04-19 |