| NPI | 1104980119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 56027) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 33238) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 33238) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-09-16 |