| NPI | 1871665307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101240321) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101240321) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-11-09 |