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 |