| NPI | 1134144215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME122992) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: WV 19017) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME122992) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S3383) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-03-04 |