| NPI | 1457323925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 32258) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 4570) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301095406) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-12-15 |