NPI | 1346392867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S8514) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301116953) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.135997) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 21412) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01051796A) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0052829) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2025-05-07 |