| NPI | 1912114943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 043719) |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: CT 043719) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-05-22 |