| NPI | 1073631099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-34060) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2010003417) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2010003417) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-34060) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-10-14 |