| NPI | 1699095687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI LP01972) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI LP01972) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |