| NPI | 1659477891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME97751) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 18319) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 18319) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101280640) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-05-22 |