| NPI | 1952414153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D80076) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ME 14707) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2019-03-01 |