| NPI | 1154439123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD419222) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C55104) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 228426) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD419222) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-02-15 |