| NPI | 1861809725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: MI 4301119195) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI L415816) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301119195) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2022-12-20 |