| NPI | 1043203839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 39476) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 039476) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2014-01-10 |