| NPI | 1972984680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME158946) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319322) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 273281) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-08-03 |