| NPI | 1114947512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-23698) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2005012190) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2005012190) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-23698) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G82044) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G82044) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-02-20 |