NPI | 1164532610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX J2916) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX J2916) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-09-06 |