| NPI | 1518174812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR 167441) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 35088) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 40701) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-02-06 |