| NPI | 1275853178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 055758) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 244741) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 055758) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-09-09 |