| NPI | 1104914951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 52794-021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 52794-021) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-11-22 |