| NPI | 1942418207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD19280) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 25996) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A95510) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2023-09-08 |