| NPI | 1285075853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0088899) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 14336) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 7116) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-05-27 |