| NPI | 1528054889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 38554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 38554) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2017-04-27 |