| NPI | 1649341785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 48128) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 511048) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101272375) | |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2022-12-14 |