| NPI | 1063575124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME155836) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G86360) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G86360) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME155836) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-02-03 |