| NPI | 1023252269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-9135) |
| Additional Taxonomies | 2084P0805X (Licence: AR E-9135) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55086) | |
| 2084P0805X (Licence: MN 55086) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2015-07-02 |