| NPI | 1396766317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME45457) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME45457) |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: FL ME45457) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2021-11-12 |