| NPI | 1912169434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: UT 8172707-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 12362) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-02-08 |