| NPI | 1376886325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 51313) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 57874) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101262812) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-10-15 |