| NPI | 1083818488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD150293) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 22222) |
| 207R00000X Internal Medicine (Licence: OR MD150293) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2013-08-28 |