| NPI | 1356387112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 10548) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD228796) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 81885) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00035598) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0063673) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301516017) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 303529) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2026-05-07 |