| NPI | 1659428944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME110947) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD0000033830) |
| 174400000X Specialist (Licence: FL ME110947) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-12-13 |