| NPI | 1477683498 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD 23566)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD23566)  | 
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2013-08-27 |