| NPI | 1649346941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD38759) |
| Additional Taxonomies | 2084P0805X (Licence: CA A85982) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-06-26 |