| NPI | 1437536059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX R3031) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-12198) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-07-10 |