| NPI | 1942529136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: TN 64408) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 49144) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-03-31 |