| NPI | 1689965048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME TD131101) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME TD131101) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A121883) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A121883) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX Q4039) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-05-15 |