| NPI | 1053498212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 64755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 64755) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-10-25 |