| NPI | 1982022752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 6459620) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 64596-20) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2021-11-29 |