| NPI | 1235690298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME162135) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 322356) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-01114) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD19472) | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-07-23 |