NPI | 1205464351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 327318) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 327318) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 327318) | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-07-30 |