| NPI | 1023214582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 232982) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 044821) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2021-11-03 |