| NPI | 1871744789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 075418) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 614) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 075418) | |
| 208D00000X General Practice (Licence: MI 4301080346) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2023-05-10 |