| NPI | 1477506632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 28970) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-112144) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 38625) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-11-25 |