| NPI | 1659805950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS FM8712754) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS T-3387) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-06-22 |