| NPI | 1972090686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301515820) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 89107) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 192913) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.147023) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME159989) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 67192) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 94395) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 45835) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-00102) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2026-02-27 |