| NPI | 1558924795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME168552) |
| Additional Taxonomies | 2084P0805X (Licence: FL ME168552) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2024-12-10 |