| NPI | 1568532240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 24583) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 28026) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 18871) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-12-03 |