| NPI | 1518175645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2013-01454) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101244390) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-07-21 |