| NPI | 1942636972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS017256) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO200327) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MN 62208) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-07-21 |