| NPI | 1417362690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 273858) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 273858) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-01-25 |