| NPI | 1629444633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME160797) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 61870) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TN 61870) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME160797) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-04-25 |