| NPI | 1366029100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME176569) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101286351) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 338494) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-12-10 |