| NPI | 1801180427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD-41804) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-41804) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2022-07-21 |