| NPI | 1336657725 |
|---|---|
| Former Name | KSENIA FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 312794) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101273795) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-10-30 |