| NPI | 1225491087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME142069) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2021-03303) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI MD-22544) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 309335) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA11313600) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 80570) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A171189) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL MD.43282) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-10-31 |