| NPI | 1831138874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 015305) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 76168) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 9569) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-09-02 |