NPI | 1396006698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: ME DO2677) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: VT 032.0133886) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NH 18059) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2020-11-17 |