| NPI | 1134196025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 34940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 34940) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IA 34940) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-07-01 |