| NPI | 1881812378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-11839) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP00435) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI LP00435) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-05-10 |