| NPI | 1174679047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A94208) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL ME93870) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME93870) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A94208) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-03-08 |