| NPI | 1184718504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME 85603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 85603) |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: FL ME85603) | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: FL ME85603) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME 85603) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-07-01 |