| NPI | 1174670616 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101231139)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD32799)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D57844)  | |
| Enumeration Date | 2007-01-05 | 
| Last Update Date | 2007-07-08 |