| NPI | 1699118471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 32868) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD043888) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019000504) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0004488) | |
| 208D00000X General Practice (Licence: VA 0101260683) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101260683) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2025-01-29 |