| NPI | 1467831255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME157096) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 294719) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD218540) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-02-23 |