| NPI | 1538231436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301057904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301057904) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-01-18 |