| NPI | 1518452234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 71576) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP04380) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD17651) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2022-08-05 |