| NPI | 1194175927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T0436) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278551) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125069362) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 315399) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-08-02 |