| NPI | 1053602458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0057364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0057364) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2016-08-12 |