NPI | 1124033675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD185526) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 96-195) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2018-08-09 |