| NPI | 1760772271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2015-00691) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 578-320) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0060796) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-08-09 |