| NPI | 1447295191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2002011264) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2002011264) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-02-03 |