NPI | 1679969497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2017-0791) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME151214) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2017-0791) | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2023-09-12 |