| NPI | 1245681873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351036679) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5315075966) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301109737) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2019-02-26 |