| NPI | 1669400867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 8204) |
| Additional Taxonomies | 2084P0805X (Licence: NH 8204) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-04-20 |