| NPI | 1407963820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: WI 27412) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-01-28 |