| NPI | 1598722183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME142958) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA06824200) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 204441) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-05-05 |