| NPI | 1659695211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2016-01459) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116022260) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2016-07-06 |