| NPI | 1740268382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 203091) |
| Additional Taxonomies | 2084P0805X (Licence: MA 203091) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-12-07 |