| NPI | 1154416519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 35066) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 35066) |
| 2084P0805X (Licence: NC 35066) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-12-06 |