| NPI | 1639105232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 28446) |
| Additional Taxonomies | 2084P0805X (Licence: SC 28446) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-04-12 |