| NPI | 1962609354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60588332) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R8191) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 38478) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2016-10-21 |