| NPI | 1487668109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 0420010344) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 1747081) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 11446) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301050531) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: NH 11446) | |
| 207Q00000X Family Medicine (Licence: NH 11446) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: NY 174708-1) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 4301050531) | |
| 207Q00000X Family Medicine (Licence: NY 174708-1) | |
| 207Q00000X Family Medicine (Licence: MI 4301050531) | |
| 207Q00000X Family Medicine (Licence: VT 042-0010344) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: VT 042-0010344) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-10-04 |