| NPI | 1801992482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME119998) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35088297) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME119998) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35088297) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-08-23 |