| NPI | 1710295423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 20819) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A166630) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 266938) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2021-03-29 |