| NPI | 1588873392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 68646) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0013971) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036073751) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-02-03 |