NPI | 1780986448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121537) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT195787) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME121537) | |
Enumeration Date | 2010-11-30 |
Last Update Date | 2023-04-21 |