| NPI | 1124400254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC MD210002319) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0096625) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301108317) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2023-05-19 |