| NPI | 1972941615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101273316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101273316) |
| 207R00000X Internal Medicine (Licence: DE C1-0012604) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-12-18 |