| NPI | 1730276197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512640) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200400623) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 11504) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-07-11 |