| NPI | 1033401161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60564355) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101019246) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5315049842) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2016-09-02 |