| NPI | 1518117100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 250316) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD14999) |
| 2084P0805X (Licence: RI MD14999) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2025-01-29 |