| NPI | 1427196658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101236924) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA MD0101236924) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-03-07 |