| NPI | 1992914808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI 13510) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 246453) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 37754) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-10-03 |