| NPI | 1831164219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 2827287) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 234316) |
| 2084P0805X (Licence: NH 10379) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-03-01 |