| NPI | 1063668077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME121892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 149697) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ID M-13872) | |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2020-09-30 |