| NPI | 1003111873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NM MD2013-0183) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2013-0183) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2019-08-12 |