| NPI | 1790912673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 31870) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL31870) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 258888) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-07-17 |