| NPI | 1316101074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 14929) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OT011754) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND PT14929) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2018-12-05 |