| NPI | 1205362639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 22834) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 22834) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 22834) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |