| NPI | 1114360856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD22193) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD22193) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD42671) | |
| 207Q00000X Family Medicine (Licence: IA MD42671) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2025-04-09 |