| NPI | 1902934508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0048631) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0048631) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-07-21 |