| NPI | 1962897868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V3930) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME140385) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332558) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL ME140385) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-04-14 |