| NPI | 1467891234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 054428) |
| Additional Taxonomies | 2084P0805X (Licence: CT 054428) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2018-07-24 |