| NPI | 1740500859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 7420) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60509359) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023025227) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2024-01-22 |