| NPI | 1194761163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 18968) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: LA 18968) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 18968) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-09-22 |