| NPI | 1093871915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 107415) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 24824) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 107415) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 24824) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-05-24 |