| NPI | 1154370823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-115268) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 46868) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 98612) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-02-02 |