| NPI | 1871598508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME115146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 30665) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 30665) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AZ 30665) | |
| 208000000X Pediatrics (Licence: OK 35.073211) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME115146) | |
| 208000000X Pediatrics (Licence: FL ME115146) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-12-09 |