| NPI | 1205998911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX P4612) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP00259) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD439925) | |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2013-03-11 |