| NPI | 1902064587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q0610) |
| Additional Taxonomies | 2084P0805X (Licence: TX Q0610) |
| 207R00000X Internal Medicine (Licence: TX Q0610) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2024-05-21 |