| NPI | 1043707763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 295334) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MA 295334) |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MA 292493) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS T-3567) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 292493) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2022-10-27 |