| NPI | 1699083519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G39266) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA G39266) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |