| NPI | 1386182632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 31438) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19699) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-05-14 |