| NPI | 1699061275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068611) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME157293) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 317631) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-06-10 |