| NPI | 1558305292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME133042) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: FL ME133042) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 12756) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME133042) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MS 12756) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-21 |