NPI | 1932320389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G4857) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME145234) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME145234) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A-42685) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2024-11-05 |