| NPI | 1194820340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 56734) |
| Additional Taxonomies | 2084P0805X (Licence: GA 56734) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: GA 56734) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-07-18 |