| NPI | 1578656211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 45710-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 45710-20) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-02-26 |