| NPI | 1811285901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME128950) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 278764) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2016001809) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-03-19 |