| NPI | 1619466844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 319087) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-02569) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD214082) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 101277941) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 68311) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 3426-320) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA IMLC.MD.61427785) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U3709) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME153834) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 75237) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 95378) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-47190) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0004493) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 202583) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 76700) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-03-08 |