| NPI | 1417917550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 8612) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-01-08 |