| NPI | 1821757071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME108320) |
| Additional Taxonomies | 2084B0002X Psychiatry & Neurology Obesity Medicine (Licence: FL ME108320) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 200900365) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-04-02 |