| NPI | 1740371715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 209783) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0009003) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME116887) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301108871) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 310017-1205) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.129360) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-11-08 |