| NPI | 1184897886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101266511) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201001266) | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 201001266) | |
| Enumeration Date | 2008-04-02 | 
| Last Update Date | 2022-08-09 |