| NPI | 1245414002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K5085) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: TX K5085) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |