| NPI | 1033646534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0091550) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101271760) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD049018) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 7044420) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-02-09 |