| NPI | 1063662112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 250484) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME303) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD14383) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2022-12-28 |