| NPI | 1861596322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 63910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 052141) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 052141) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-04-23 |