| NPI | 1902935240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101275529) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D65018) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD19953) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME MD19953) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2023-06-21 |