| NPI | 1033310719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-13629) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 21788) |
| 208D00000X General Practice (Licence: WV 21788) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-08-07 |