| NPI | 1154641215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX R3774) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R3774) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A121875) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME137289) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-10-31 |