| NPI | 1528725348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL RN2571832) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |