| NPI | 1134111222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 23781) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 23781) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 23781) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-07-08 |