| NPI | 1396806808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D32789) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD15461) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101038977) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-07-01 |