NPI | 1962664789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036151260) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C159601) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1722) | |
207Q00000X Family Medicine (Licence: OH 35.097988) | |
207Q00000X Family Medicine (Licence: NC 2013-01176) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101264187) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2013-01176) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2024-02-19 |