| NPI | 1043327497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 201001187) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 9819) |
| 208000000X Pediatrics (Licence: NC 2010-01187) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-10-17 |