| NPI | 1043372543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NH 7851) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VT 8369) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-10-29 |