| NPI | 1356870042 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0016211)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03990)  | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP03990)  | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI LP03990)  | |
| Enumeration Date | 2017-06-07 | 
| Last Update Date | 2022-08-25 |