| NPI | 1396159679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R2920) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX BP10050691) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-11-16 |