NPI | 1033536131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME140415) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 19828) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME140415) | |
Enumeration Date | 2014-03-26 |
Last Update Date | 2019-08-06 |