NPI | 1821006172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME49876) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 73496) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-15862) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-09-15 |