| NPI | 1578773222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME105183) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME105183) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019000498) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM TM2018-0714) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-03-08 |