| NPI | 1528279833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T3784) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 57011740) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 262192-01) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 349272) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-10-07 |