| NPI | 1700071479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2016022812) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301089693) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KS 04-39486) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-05-07 |