| NPI | 1841433828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA DO.000263) |
| Additional Taxonomies | 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: LA DO.000263) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2021-05-07 |