| NPI | 1538245550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: MI 4301059929) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301059929) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-05-29 |