| NPI | 1508151598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 170667) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD186801) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD14432) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 20805) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 19919) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 262743) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-07-25 |