NPI | 1750873642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD19228) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD19228) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD19228) | |
Enumeration Date | 2018-06-05 |
Last Update Date | 2023-09-29 |