| NPI | 1336569599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 176428) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 282050) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 281353-1) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA 477389) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2022-04-22 |