| NPI | 1497866024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME131172) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 249908) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101236052) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-07-19 |