| NPI | 1548671415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME132616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-9594) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-9594) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-03-09 |