| NPI | 1518934884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 159616) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ME MD19032) |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2015-08-03 |