| NPI | 1073715561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 45467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD45467) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61462724) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2025-03-19 |