| NPI | 1932320389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A-42685) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME145234) |
| 208D00000X General Practice (Licence: FL ME145234) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-10-17 |