| NPI | 1861566473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 40332-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 40332-020) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-09-30 |