| NPI | 1194040519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WV 25697) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ZZ 0435120) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ZZ 4259699) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2016-10-03 |