| NPI | 1467592881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 07049) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301069261) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101268853) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-10-25 |