| NPI | 1942487103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 29303) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: MN 70478) |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: OK 29303) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 70478) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2022-09-22 |