| NPI | 1730153180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 40071) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 40071) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-18 |