| NPI | 1629295894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 46832) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI MI4301063844) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101270423) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-07-21 |