| NPI | 1053414383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 233651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13044) |
| 207R00000X Internal Medicine (Licence: NC 200000807) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 13004) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2009-03-03 |