| NPI | 1770760357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 21765) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A134640) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD000051969) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 49915) | |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2023-03-07 |