| NPI | 1407969736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 16624) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 015211) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME 015211) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 16624) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-12-19 |