| NPI | 1376938829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME140406) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11333000) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 305631) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2026-02-24 |