| NPI | 1104801745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 049137) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CT 049137) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 42062) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2010-10-22 |