NPI | 1447663729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS15068) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2022-03060) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320313) | |
Enumeration Date | 2014-06-04 |
Last Update Date | 2025-08-12 |