| NPI | 1114949195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 150236) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 150236) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-05-16 |