| NPI | 1720302458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 144501) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 269599) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VT 042.0013186) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ID M-17539) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-11-06 |