| NPI | 1174969299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301506023) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101253480) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD041045) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2022-03-11 |