| NPI | 1225472939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8252) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: TX R8252) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 288634) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2018-09-06 |