| NPI | 1174555809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: PR 13608) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 13608) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-04-17 |