| NPI | 1063075596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0070859) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0070859) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2024-06-25 |