| NPI | 1871887950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D83536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9079) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-9079) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-03-10 |