| NPI | 1396187993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME134822) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME134822) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-08-29 |