| NPI | 1205030111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MDR5045) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A124200) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0012655) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2022-07-21 |