| NPI | 1386092765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18134) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD18134) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: RI MD18134) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-07-31 |