| NPI | 1639240740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AK AK3921) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A5488) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL 006598) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 02002028A) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2007-08-13 |