| NPI | 1780616201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI DOS-2271-0) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A11322) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 228415) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-01 |