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 |