| NPI | 1164466769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 048182) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08042800) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 246005) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 66598) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD445993) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 66598) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-12-17 |