| NPI | 1740213982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 95-00966) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9500966) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-12-16 |