| NPI | 1194804054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD17188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 264742) |
| 208000000X Pediatrics (Licence: FL me71623) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-20 |