| NPI | 1831240118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301078784) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301078784) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI 4301078784) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2010-09-01 |