| NPI | 1558603118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME160186) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV FT4103507) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320651) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-03-28 |