| NPI | 1033283593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101249591) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 48549-020) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101249591) | |
| 208D00000X General Practice (Licence: WI 48549-020) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-06-21 |