| NPI | 1003053307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 167486) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 52425) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD d0068425) | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2020-03-03 |