| NPI | 1316506355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 1014660) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI LP04616) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-03-31 |