| NPI | 1598179731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 52805) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL37120) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 52805) | |
| 207R00000X Internal Medicine (Licence: SC LL37120) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-06-24 |