NPI | 1114350568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 86432) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.128126) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MDR-6740) | |
Enumeration Date | 2013-08-20 |
Last Update Date | 2025-08-18 |