| NPI | 1023226909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD468363) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q2112) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME109830) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME109830) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX Q2112) | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: TX Q2112) | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: FL ME109830) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-25 |