| NPI | 1861527624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 34458) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD0000011649) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR C5466) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |