| NPI | 1750642153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 58443) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0055936) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2020-08-28 |