| NPI | 1396126652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME160173) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA12014700) |
| 2084P0805X (Licence: FL ME160173) | |
| 208D00000X General Practice (Licence: FL ME160173) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 329919) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-12-02 |