| NPI | 1356319453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.023926) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 023926) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-01-29 |