| NPI | 1972066173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO211040) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A22711) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP61512214) | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2025-03-26 |