| NPI | 1073670659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 49267) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 040014087) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 23117) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 010847771A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 18954) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 30122) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301106891) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-02-24 |