| NPI | 1720041080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0421888) |
| Additional Taxonomies | 2084P0805X (Licence: KS 0421888) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2007-11-30 |