| NPI | 1942612650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2019-0714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03153) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP03153) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI LP03153) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-10-26 |