| NPI | 1376763144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 23177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23177) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-07-05 |