| NPI | 1306870480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 208243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 208243) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-02-24 |