| NPI | 1720050552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 287048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 57553361205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 261723-01) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0012150) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 57553361205) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 261723-01) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VT 042-0012150) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 57553361205) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-02-25 |