| NPI | 1376820316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 070683) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA c54816) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME143038) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR-38236) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2020-02-26 |