| NPI | 1558686162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0050364) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CO DR.0050364) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2025-10-22 |