| NPI | 1396894713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 49417-020) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 49417-020) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-08-31 |