| NPI | 1588685887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME92722) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 20044) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 055521) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |