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 |