| NPI | 1518171255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 07586) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D70490) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD25761) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-10-11 |