| NPI | 1316929508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 27096) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 32778) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME94634) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2018-03-17 |