| NPI | 1730129420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101237517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101237517) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-02-12 |