| NPI | 1104231505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 14924) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 71037) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 114426) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-08-22 |