| NPI | 1437564630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 6894) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-04-05 |