| NPI | 1417942178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 34242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 34242) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-12-11 |