| NPI | 1073575049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI 10303) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD10303) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-11-20 |