| NPI | 1992070379 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101262713)  | 
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 0101262713)  | 
| Enumeration Date | 2012-03-19 | 
| Last Update Date | 2020-01-17 |