| NPI | 1619182045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA MD201514) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: LA 201514) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: LA 201514) | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: TX T2517) | |
| 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: LA 201514) | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine (Licence: LA MD.201514) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX T2517) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA MD.201514) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 201514) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA00053330) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: TX T2517) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: LA MD.201514) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: LA 201514) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: NJ 25MA00053330) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: LA MD.201514) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-07-16 |