| NPI | 1497778617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301076615) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2024-02891) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0069550) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.163919) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 72146) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U9548) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2024-0930) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 327405) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME169476) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.146671) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2026-07-08 |