| NPI | 1497983522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: MI 4301094943) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301094943) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-10-06 |