| NPI | 1538276290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD160151) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 24771) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 70-320) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-01-25 |