| NPI | 1457888679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME157846) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2022-03205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D98779) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 85365) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101276484) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 318306) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-07-24 |