| NPI | 1407945025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 20258) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 2081) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 767) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-04-29 |