| NPI | 1851305734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 26530) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 5611) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101049360) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |