| NPI | 1760703904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD210002381) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101278206) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 86844) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0094395) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2026-06-15 |