| NPI | 1548623093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 01092407A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 65046) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61504184) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 292584) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-03-15 |