| NPI | 1538781760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME163564) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME163564) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME0163564) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-10-16 |