| NPI | 1215910369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE NE14023) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: NE NE14023) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2010-02-18 |