| NPI | 1609073014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: SC 30875) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 30875) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-06-16 |