| NPI | 1598725582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 72190) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 72190) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-09-17 |