NPI | 1114287794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 332699) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD453223) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD453223) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332699) | |
Enumeration Date | 2012-05-17 |
Last Update Date | 2024-08-29 |