| NPI | 1871515718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: KY 41105) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NC 200200819) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200200819) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 41105) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01066299A) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-05-10 |