| NPI | 1952755191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A20848) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 032.0134075) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-12371) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 0200619A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 13060A) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-06-21 |