| NPI | 1134234362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301077326) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301077326) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI 4301077326) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA md203942) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-02-15 |