| NPI | 1851314157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX F3366) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 23152) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C39289) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-07-21 |