| NPI | 1518133156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P9129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P9129) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2024-01-16 |