| NPI | 1629244397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2012-00124) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 141024) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC TL33437) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2012-06-12 |