| NPI | 1114269792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 303828) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 303828) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 303828) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2017-10-02 |