| NPI | 1215915368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 14166) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD11502) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0012007) | |
| Enumeration Date | 2006-01-08 |
| Last Update Date | 2014-08-01 |