| NPI | 1376619957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 49817-20) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 49817-20) |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: WI 49817-20) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: WI 49817-20) | |
| 2084P0805X (Licence: WI 49817-20) | |
| 208D00000X General Practice (Licence: WI 49817-020) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-05-13 |