| NPI | 1154385391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101266790) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME119391) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35048605) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-02-24 |