| NPI | 1437311644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 59002) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-8460) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 4248) | |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2019-12-19 |