| NPI | 1659716918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101259838) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME146276) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 40764) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-09-22 |