| NPI | 1306248075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME135999) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WI 21742-875) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NH 22188) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 88427) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL 43314) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2023-01-09 |