| NPI | 1740710334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA11644100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11644100) |
| 208000000X Pediatrics (Licence: PA MD478198) | |
| 208000000X Pediatrics (Licence: RI TMD00033) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11644100) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD478198) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI TMD00033) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD478198) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI TMD00033) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-11-13 |