| NPI | 1689203986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME164515) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512313) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 711741) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-11-20 |