| NPI | 1982894630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.201396) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 201396) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P4901) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2013-04-15 |