| NPI | 1588958391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 129774) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18223) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2019-10-15 |