| NPI | 1811061377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS14917) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 48591-021) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 50773) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-10-17 |