| NPI | 1902067366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 16828) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND PT16828) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q5200) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-12-28 |