| NPI | 1801900154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 35548) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ME 7452) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-11-04 |