| NPI | 1922064153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101267232) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301080508) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301080508) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-11-11 |