| NPI | 1346386109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 106635) |
| Additional Taxonomies | 174400000X Specialist |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101255584) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-04-22 |