| NPI | 1326138876 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121586)  | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301406351)  | 
| 174400000X Specialist (Licence: FL ME121586)  | |
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2022-10-11 |