| NPI | 1255377560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301043893) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301043893) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-08-12 |