| NPI | 1780031534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278567) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 4301) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 278567) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 4301) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-05-25 |