| NPI | 1720292139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 18469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 18469) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-01-31 |