| NPI | 1528297660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD41589) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-8770) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2024-08-13 |