| NPI | 1659508679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME108411) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME108411) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME108411) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2012-04-23 |