| NPI | 1619321171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: DC MD210002305) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MD D0094839) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 0101268870) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101268870) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD466075) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-09-27 |