NPI | 1144608795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD17122) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD17122) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD17122) | |
Enumeration Date | 2015-05-15 |
Last Update Date | 2020-07-30 |