| NPI | 1457450041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: NC 36027) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 144308) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G49892) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 39074) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD045554L) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 36027) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 12605) | |
| 2084P0805X (Licence: ME 12605) | |
| 2084P0805X (Licence: NY 144308) | |
| 2084P0805X (Licence: CA G49892) | |
| 2084P0805X (Licence: NJ 39074) | |
| 2084P0805X (Licence: PA MD045554L) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-09-11 |