| NPI | 1114101409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 242476) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 242476) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ 25MA08765900) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA MD475006) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2023-04-24 |