| NPI | 1023455425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 87092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-02540) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-04-12 |