| NPI | 1851596712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD13345) |
| Additional Taxonomies | 2084P0805X (Licence: RI MD13345) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-03-07 |