| NPI | 1518913540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME162610) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SD 10690) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 36746) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 50674) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-04-23 |