| NPI | 1902359177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 326216) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332203) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036171479) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD487133) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01087793A) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2024-11-08 |