| NPI | 1275160616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME175154) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME175154) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 335961) | |
| 208000000X Pediatrics (Licence: FL ME175154) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-09-25 |