| NPI | 1790029627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC LL35300) |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: SC LL35300) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-05-08 |