| NPI | 1114982857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD09216) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD057528L) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0077815) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-10-03 |