| NPI | 1407006083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 36333) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 7431) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 8136A) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2015-08-04 |