| NPI | 1134411598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 65257) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME143901) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY P07681) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-07-28 |