| NPI | 1316979180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 207990) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD10480) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0060891) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-17 |