| NPI | 1720105281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2010027261) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2004018041) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 046068) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD12964) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-12-18 |