| NPI | 1457386476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 75484) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 75484) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 027558) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 027558) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-10 |