| NPI | 1073962312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278307) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT211022) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 278462) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D90488) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-08-22 |