| NPI | 1205876547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G87479) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY NY316914) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |