| NPI | 1407019367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 050554) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP01524) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH RT-1961) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-12-15 |