| NPI | 1679785802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0051859) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 6675) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 25729) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-08-04 |