| NPI | 1225485576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 276938) |
| Additional Taxonomies | 2084P0805X (Licence: MA 276938) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-08-30 |