| NPI | 1093219669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 298070) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 00000000000000000000) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-11-01 |