| NPI | 1033209838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2006-00607) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200600607) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME131556) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-05-18 |