NPI | 1902330277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 88173) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 40973) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME7865) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 336960) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2025-07-28 |