| NPI | 1891778809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0053403) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 53677) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 026502) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |