| NPI | 1477726289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: GA 63578) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 51953-20) |
| 2084P0805X (Licence: GA 003490) | |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2018-11-30 |