| NPI | 1073621215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME80041) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME80041) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-01-04 |