| NPI | 1205098084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 45577) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD 442828) |
| 208000000X Pediatrics (Licence: KY 45577) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-06-11 |