| NPI | 1720468739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D87205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KS 94-08564) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-10-25 |