| NPI | 1053301226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 40648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 40648) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2012-08-10 |