| NPI | 1215039771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200600751) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-35931) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C137031) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2015-09-17 |