| NPI | 1568444636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI DO00351) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 04338) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 54998) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2014-01-09 |