| NPI | 1124202791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC NC39183) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA LAMD09617R) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2010-12-29 |