| NPI | 1487817797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101246613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246613) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2021-12-27 |