| NPI | 1598875361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NM MD2016-0040) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D35928) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G46967) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-03-31 |