| NPI | 1699066373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.011156) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 63625) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q3892) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 19-321) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60851495) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO187158) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 20190133398) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 26323) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2019-04-26 |