| NPI | 1255310298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 40655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 40655) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2023-04-26 |