| NPI | 1114296704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A119385) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A119385) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2022-09-10 |