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 |