| NPI | 1255344511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 81439) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 4533) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2019-05-13 |