| NPI | 1447323829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: VA 0101240493) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: DC MD035907) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-03-17 |