| NPI | 1174584098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C52615) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C52615) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35081620) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35 081620) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-07-24 |