| NPI | 1710998471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME84771) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 50744) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 237423) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-3342) | |
| 2084P0805X (Licence: FL ME84771) | |
| 2084P0805X (Licence: GA 50744) | |
| 2084P0805X (Licence: NY 237423) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-11-21 |