| NPI | 1982100533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 306528) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME164000) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 75921) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-10-13 |