| NPI | 1912960899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 72677) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 72677) |
| 2084P0805X (Licence: MA 72677) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2025-03-11 |