| NPI | 1114952355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD23235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD23235) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-05 |