| NPI | 1871583476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME122416) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: CT 038807) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 038807) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-01-26 |