| NPI | 1770141095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 322993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 322993) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 322993) | |
| 208000000X Pediatrics (Licence: PA MT217803) | |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2025-08-08 |