| NPI | 1730172081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 16152) |
| Additional Taxonomies | 174400000X Specialist (Licence: WI 16152-020) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2015-01-15 |