| NPI | 1083789374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: OH 35.122421) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0012049) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 242070) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35122421) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-02-25 |