| NPI | 1114331568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME149281) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 283514) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 283514) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-12-08 |