| NPI | 1053396895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.081829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 38282) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2021-01-15 |