| NPI | 1821022419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD00035794) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MT 11109) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-07-26 |