NPI | 1619954096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 41661) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME126157) |
208D00000X General Practice (Licence: MN 41661) | |
Enumeration Date | 2005-12-28 |
Last Update Date | 2024-05-09 |