| NPI | 1962647842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 53080) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CT 53080) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD15405) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2020-10-06 |