| NPI | 1689710790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 062900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301072935) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-01-12 |