| NPI | 1689622219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE 24380) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD00018817) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 36756) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-02-01 |