| NPI | 1376655704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 103380) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2006-01125) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD27977) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 40971) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 8650) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-09-06 |