| NPI | 1659868370 |
|---|---|
| Former Name | SHAKIRA EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 240176) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME159693) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2026-04-04 |