| NPI | 1811283500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2019-00069) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI 16921) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-08-01 |