| NPI | 1255733390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME135584) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 22235) |
| 208D00000X General Practice (Licence: PR 18862) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2018-12-12 |