| NPI | 1487826467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 49485) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2011-07-22 |