| NPI | 1952436461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0080318) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101237003) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-11-11 |