| NPI | 1457619603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME150931) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 86515) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDRH.0057224) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 52091) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2023-08-14 |