| NPI | 1417216276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 008138) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 66543) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-09973) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2020-09-10 |