| NPI | 1760682942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D76792) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MD D76792) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: DC MD039527) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD039527) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-08-10 |