| NPI | 1679587182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 21748) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 29421) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 5750) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-02-23 |