| NPI | 1225130776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 12551) |
| Additional Taxonomies | 2084P0805X (Licence: NH 12551) |
| 2084P0805X (Licence: CA A67021) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A67021) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 246175) | |
| 2084P0805X (Licence: MA 246175) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2017-04-19 |