| NPI | 1033200571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 50327) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-24359) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 31456) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 31456) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-11-25 |