| NPI | 1801984349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 44539) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 44539) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MA 44539) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-08-09 |