NPI | 1013110808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 263889-1) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09462300) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C155800) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2020-11-04 |