| NPI | 1184796203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS N04245) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN MD000025744) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-05-15 |