| NPI | 1467535617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME126212) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA MD.016601) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL BD0137023) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-08-11 |