| NPI | 1174537195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME90118) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N0202) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 20990) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-04-29 |