| 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 |