| NPI | 1124379698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A168720) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8281) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 168720) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2021-10-28 |