| NPI | 1023087418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI 13735) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 13735) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-12-02 |