| NPI | 1043254642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 11703) |
| Additional Taxonomies | 2084P0805X (Licence: PR 11703) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-07 |