| NPI | 1255457263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55495) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2005017817) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.118853) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-03-11 |