| NPI | 1013171032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 17068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17068) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2019-03-29 |