NPI | 1255081469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME169709) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME169709) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2024-08-29 |