| NPI | 1871150318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME162759) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332442) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD486261) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-10-29 |