| NPI | 1952719650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 13904086) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 114077) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY G46689) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN11017321) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID 71753) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO C-APN.0001441-C-NP) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2024-05-21 |