| NPI | 1124644703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-51772) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-51772) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0071066) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0071066) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2025-09-17 |