| NPI | 1740487032 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101244550)  | 
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 010124450)  | 
| 2084P0805X  (Licence: VA 0101244550)  | |
| Enumeration Date | 2007-06-29 | 
| Last Update Date | 2024-04-22 |