| NPI | 1629210281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: VT 042.0012892)  | 
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CT 051920)  | 
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 249895)  | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 051920)  | |
| Enumeration Date | 2009-03-28 | 
| Last Update Date | 2025-04-29 |