| NPI | 1649352428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101266848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01559) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2006-01559) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-12-10 |