| NPI | 1467730325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2019033202) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND RL 11944) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 58747) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2019-10-10 |