| NPI | 1619037348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME97660) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-106413) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 107971) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-03-22 |