| NPI | 1295947026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N6129) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-6570) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-32801) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-02-05 |