| NPI | 1841268992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M1023) |
| Additional Taxonomies | 2084P0805X (Licence: TX M1023) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-07-18 |