| NPI | 1164621348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX N5048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5048) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-01-18 |