| NPI | 1184637159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 216710) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 057885) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 216710) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MA 216710) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 54329) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA 54329) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.127220) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-10-30 |