| NPI | 1194778175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME88835) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 213914) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.025899) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-07-22 |