| NPI | 1477879427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 255050) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: MA 255050) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 255050) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2016-03-17 |