| NPI | 1205349149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 22267) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 35126) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-06-24 |