| NPI | 1124415591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 83124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83124) |
| 208D00000X General Practice (Licence: GA 83124) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2022-07-18 |