| NPI | 1902248867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ME DO2801) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 055566) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT 055566) | |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2018-11-12 |