Individual
EMEE TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101271760
VA
2084P0800X
Psychiatry Physician
7044420
WI
2084P0800X
Psychiatry Physician
Primary
D0091550
MD
2084P0800X
Psychiatry Physician
MD049018
DC
Other
Enumeration date
05/15/2017
Last updated
02/09/2022
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