| NPI | 1821021924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 31904) |
| Additional Taxonomies | 2084P0805X (Licence: MN 31904) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-01-03 |