| NPI | 1023069861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-9965) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD9965) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-11-23 |