| NPI | 1922099290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0060526) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME60526) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2019-03-27 |