| NPI | 1841677804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME DO2855) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V7394) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 22319) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 79346) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2026-01-02 |