| NPI | 1851685135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS16287) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI DOS-1534) |
| 208D00000X General Practice (Licence: HI DOS-1534) | |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2021-09-13 |