| NPI | 1972761419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N8149) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 3185131) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5315056422) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2018-04-30 |