| NPI | 1104186071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD15594) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02512) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP02512) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI LP02512) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-07-21 |