| NPI | 1083870265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 068021) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME144680) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301101215) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-09-27 |