| NPI | 1871671099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 33729) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 33729) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-06-08 |