| NPI | 1821364738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 61739) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 61739-21) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2022-07-21 |