| NPI | 1033227905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 102916) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 25262) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: SC 25262) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME 102916) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-12-04 |