| NPI | 1871550509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0036410) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME0036410) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-04-22 |