| NPI | 1720006125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 223009) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 223009) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-11-21 |