| NPI | 1174596746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND PT12912) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 043926) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 71925) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2015042689) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-02-15 |