NPI | 1952391419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 210051) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 210051) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 210051) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2007-07-08 |