| NPI | 1023369170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101260956) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101260956) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2023-08-16 |