| NPI | 1023285848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 78564) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 33061) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME128485) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 265080-1) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C159110) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 59541) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE C70003986) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2022-02-22 |