| NPI | 1891715728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA 41948) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ID M-8575) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-09-17 |