| NPI | 1275592834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 045479) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 221541) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2017-11-22 |