| NPI | 1740489830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S5347) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-37080) |
| 208D00000X General Practice (Licence: HI 14266) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2020-07-13 |