| NPI | 1104051499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD468241) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PR 17562) |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: PA 468241) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2025-11-03 |