| NPI | 1912310236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 10117300-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG168266) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-09-12 |