| 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 |