| NPI | 1497729073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VT 042.0011536) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0011536) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 53763) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 53763) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-08-09 |