| NPI | 1114936671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 053278) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA a82887) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 229461) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-08-01 |