| NPI | 1427234475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MN 58689) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: DC MD036820) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD036820) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 58689) | |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2016-08-08 |