| NPI | 1972657021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 54163) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 54163) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 60283) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |